This is the master glossary and acronym index for Oracle Healthcare applications, and for the Oracle Healthcare Data Repository (HDR).
Arterial blood gasses.
The person accompanying a patient to or during an encounter.
An ETS concept that has been added to the master catalog. Act definitions include class, mood, category code, detail ID type, and detail ID.
See: clinical act.
An association between a pair of acts. This includes act-to-act associations such as collector/component, predecessor/successor, and cause/outcome. An HL7 version 3 concept.
The intersection of an act mood and an act class, used to define logical groupings of clinical act definitions.
The arrival of a new inpatient. May follow pending admission or optional pre-admission.
The physician who authorizes a patient admission; a physician authorized to admit patients.
Admit, discharge and transfer.
Any untoward medical occurrence in a patient administered a medicinal product and which does not necessarily have to have a causal relationship with this treatment. An adverse event can therefore be any unfavorable and unintended sign (for example, an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to this medicinal product.
A logical container for a group of related events. Examples of Agency Transaction types are Claim, Prepaid Invoice, Non-Claim AR Invoice, and Cash Receipt. Note that the term Document is synonymous with Agency Transaction.
Administrative grouping of services.
American Medical Association.
An encounter that does not result in the hospitalization or institutionalization of the patient in the facility providing the service.
Applications Programming Interface.
A specific type of financial event used to link a Payment Event with one or more AP Invoice events included within Agency Transactions of type Claim.
A time period scheduled for a patient encounter. It must specify the start date and time, end date and time, encounter class, and organization unit.
The current state of an appointment. Valid statuses include reserved, active, aborted, nullified, and completed.
The nature of the appointment (length, description, resource requirements) and the actions to be performed. This can also include associated diagnostic procedures. Examples include allergy shots, follow-up consultations, chemotherapy. Specific appointment types are assigned to one or more resources or resource groups.
Audit Record Repository
Audit Trail and Node Authentication, an IHE Profile. Used for securing any communication between endpoints and auditing of systems that receive or send patient information.
The physician who has primary responsibility for the care of a specific patient for the duration of an encounter.
See Also: primary care provider (PCP).
The process of verifying the identity of a user, device, or other entity in a computer system or network, typically as a prerequisite to granting access to resources in a system. A recipient of an authenticated message can be certain of the message origin (its sender). Authentication is presumed to preclude the possibility that another party has impersonated the party being authenticated.
Permission given to a user, program, or process to access an object or set of objects. The set of privileges available to an authenticated user or entity.
See Also: patient authorization.
Business to Business (B2B) is an integration product for business-to-business exchange of services, information and products. B2B enables an enterprise to define, configure, manage, and monitor the exchange of information, electronically, with its trading partners.
Business to Customer.
The primary language of an Oracle Applications instance. The language that is used by default when no language is specified. ETS will often use the base language for a description when no description exists in the language requested. This is controlled by a mapping for every coding scheme version.
Bean-Managed Transaction.
Business Process Execution Language (BPEL)
Markup language for composing a set of discrete services into an end-to-end process flow. The Oracle BPEL Process Manager provides a developer-friendly and reliable solution for designing, deploying and managing BPEL business processes.
A division or department of a healthcare facility or enterprise that supports an administrative, non-clinical function, such as a division or a department.
Certificate Authority
Computer-Assisted Tomography.
See Also: CT
Organization of concepts around a shared characteristic. For example, concepts may be categorized according to whether they represent medical procedures, diagnoses, or findings. Diagnoses may be categorized according to the affected organ system.
Specific location of an encounter within a healthcare facility, such as a bed or room. There can be multiple care sites within a practice setting, and multiple practice settings can use the same care site. Multiple patients can also be assigned to the same care site.
Complete blood count
Continuity of Care Document
Clinical Document Architecture.
A defined and complete information object that can exist outside of a messaging context and/or can be a payload within an HL7 message. Includes the CDA Header and CDA Body [source: HL7 Glossary, ballot 8, 8/04].
Clinical Data Interchange Standards Consortium.
Current Dental Terminology.
Current Dental Terminology, 2nd Revision.
Centers for Medicare & Medicaid Services
Was called the Health Care Financing Administration (HCFA). An agency of the U.S. Department of Health and Human Services, HCFA administers Medicare, Medicaid, and SCHIP. The agency also performs a number of quality-focused activities, including regulation of laboratory testing (CLIA) and development of coverage policies.
A method of formally identifying healthcare practitioners who have completed specified training, a certain set of requirements, or passed an examination. The certifying organization may be an academic, governmental, or professional body within the healthcare community.
Text (or a message) that has been encrypted.
Clinical Laboratories Improvement Act.
An instance of a clinical event; any clinical observation, service, procedure, or supply rendered as part of the diagnosis or treatment of a patient.
The assignment of a clinician to a staff position for purposes of defining individual clinical responsibilities or privileges within an enterprise.
A characteristic of a clinical act that provides descriptive information; an attribute associated with a clinical act.
The documentation of clinical observations and services.
The HL7 Clinical Document Architecture (CDA) is a document markup standard that specifies the structure and semantics of "clinical documents" for the purpose of exchange [source: CDA Specification release 2, 3rd ballot 8/04]. The standard is developed and maintained by the Structured Documents Technical Committee of HL7.
A clinical role within an enterprise.
A collection of clinical data defined for rapid retrieval, for purposes of display or data entry.
See: practitioner.
Common Message Element Type (see www.HL7.org for more details).
Centers for Medicare & Medicaid Services; formerly called HCFA.
Container-Managed Transaction.
A mechanism for identifying and defining physician and hospital services, coding is a function of billing. Coding provides universal definition and recognition of diagnoses, procedures and level of care. A national certification exists for coding professionals and many compliance programs are currently raising standards of quality for their coding procedures.
Within ETS, a particular structured system of terms or concepts used to maintain coded meanings. Examples include The International Classification of Diseases, 9th Edition, Clinical Modification (ICD-9-CM), and University Hospital's Laboratory Codes.
A particular instance of a coding scheme. For example: ICD-9-CM for the year 2000; ICD-9-CM for the year 2001; the University Hospital's Laboratory Codes, Updated September, 2001.
Oracle Coherence is an In-Memory Data Grid that provides a faster and reliable mechanism to cache frequently accessed data and improves application scalability.
Consistently and accurately conforming to U.S. government rules for Medicare billing system requirements and other regulations. A compliance program is a self-monitoring system of checks and balances intended to ensure that an organization consistently complies with applicable laws relating to its business activities or healthcare delivery services.
Cognitive construct (or abstraction) formed by using the characteristics of objects; unit of thought. A concept should not be confused with a linguistic or symbolic scheme used to represent it. Objects can be thought of as instances of concepts. Example: the concept of viral hepatitis.
Identifies a concept within its native terminology.
An internal identifier for an ETS concept.
Within ETS, user-defined groupings of ETS concepts that can be used by other applications; for example, lookup types are ETS concepts.
See Also: Oracle Javadoc Lookup Type Index (concept lists) for a list of seeded concept lists and values. These concept lists represent the valid sets of coded values used by HDR APIs and by HDR message processing.
Permission given to providers by individuals for the use and disclosure of protected health information for treatment, payment, or healthcare operation purposes.
Any physician providing a patient consult who is not the primary care physician.
See Also: primary care provider (PCP).
Represents sets of user-configurable choices, rules, and regulations that govern search, deduplication, and linking processes within the implementation.
A contractually specified payment required of a health plan member to receive covered services.
See: core terminologies.
A specific set of coding schemes employed by ETS.
A coding scheme for which ETS has provided special support, in terms of loaders, APIs, and a predefined ETS coding scheme.
Services provided under a healthcare plan or policy.
Health plans, health care providers, health care clearinghouses, or others who hold or transmit protected health information subject to the HIPPA Privacy Rule of the U.S. Department of Health and Human Services. Such entities must conform to the privacy requirements of the Health Insurance Portability and Accountability Act of 1996.
Current Procedural Terminology.
Current Procedural Terminology, 4th Revision.
Coding convention defined by the Health Care Financing Administration (HCFA), now the Centers for Medicare & Medicaid Services to identify medical or psychiatric procedures. Used to determine reimbursement amounts to providers by Medicare carriers. A growing number of managed care and other insurance companies also base their reimbursements to their commercial members using this coding convention.
That set of documents or document references (academic degrees, certifications, licenses, professional affiliations, employment history, references...) that qualify a practitioner to deliver healthcare services. Credentials are issued by external organizations.
Generally refers to the association of related objects across systems. In message processing, the mapping of externally assigned identifiers to HDR-assigned (internal) identifiers.
Current Procedural Terminology
A classification of procedures used for Medicare reimbursement.
Artifacts generated from RMIMs that users create and are not published by Oracle.
Consistent Time, an IHE Profile. Provides a means to ensure that the system clocks and time stamps of computers in a network are well synchronized. This profile specifies synchronization with a median error less than one second.
Computerized Tomography.
See Also: CAT
Oracle Clinical Transaction Base; now HDR.
An entity that determines the purposes for which and the manner in which personal health information is processed, and which has the legal obligation to protect the privacy of personal health information in its control; may or may not correspond to a legal entity. May be a component of a legal entity or several legal entities may be grouped together to form one data controller.
The guarantee that the contents of the message received were not altered from the contents of the original message sent.
Data Collection Instrument. A DCI is a structured set of items for which data values are to be collected during a session (or visit) within a clinical trial.
The process of converting the contents of an encrypted message (ciphertext) back into its original readable format (plaintext).
de-identified health information
Health information that neither identifies nor provides a reasonable basis to identify an individual. Individual health information can be de-identified by the removal of specified identifiers of the individual and of the individual's relatives, household members, and employers, and is adequate only if the covered entity has no actual knowledge that could be used to identify the individual.
User-configurable set of rules and regulations that govern duplicates identification processes.
A person covered by another person's health plan or policy; in a payer's policy of insurance, a person other than the subscriber eligible to receive care pursuant to subscriber's contract.
Data Encryption Standard (U.S.).
U.S. Department of Health and Human Services.
An observation about the presence (or absence) of a particular disease state in a subject.
A classification system developed by the U.S. Department of Health and Human Services. Patients with similar ICD-9-CM diagnoses who undergo similar procedures are included in the same Diagnosis Related Group. DRGs are used by the United States Medicare system to reimburse hospitals for their treatment of patients, reimbursing a fixed amount for all patients in a DRG regardless of their lengths of stay. DRGs are also widely used in health data analysis.
A dimension is a structure, often composed of one or more hierarchies, that categorizes data. Dimensional attributes help to describe the dimension member/dimensional value. They are normally descriptive, textual values. For example, Customer Name and Credit Profile.
Release of an inpatient; termination of an inpatient's residence at a medical facility. Changes patient status from pending discharge to discharged.
Domain Message Information Model.
Distinguished Name.
Domain Naming Service.
IHE XDS.b actor which queries a Document Registry Actor for XDS documents meeting certain criteria, and retrieves selected XDS documents from one or more Document Repository actors.
IHE XDS.b actor responsible for storing information about XDS documents so that the documents of interest for the care of a patient may be easily found, selected and retrieved.
IHE XDS.b actor responsible for storing XDS documents in a transparent, secure, reliable and persistent manner and responding to document retrieval requests.
A family of standard reports that are a current component of the product. These are based on Oracle Reports technology.
IHE XDS.b actor responsible for producing and publishing of XDS documents. It sends XDS documents to a Document Repository Actor. It also supplies metadata to the Document Repository Actor for subsequent registration of the documents with the Document Registry Actor.
domain Message Information Model
A form of the Refined Message Information Model constructed to represent the totality of concepts embodied in the individual RMIMs needed to support the communication requirements of a domain. An HL7 version 3 concept.
Logical person that represents a general set of demographics for all linked persons associated with a given master person identifier. It is a dynamic entity (may change when a new person is created or an existing linked person is updated), and is needed for reporting purposes as well as for matching optimization.
Record that is deemed to be a duplicate. Merge From, Loser, and Slave are various terms used to refer to a Donor. The HL7 term for the donor is Subsumed Person.
An Oracle Applications instance is available in a number of languages. Languages that are available to Oracle Applications but not installed are referred to as dormant.
Unintentional multiple representations of the same physical individual in the system, normally within the same data partition. Identified duplicates need to be further resolved using merge.
See Also: merge
Records can be placed on the Duplicates Review List whenever they are determined to be potential non-intentional duplicates with existing records (within the same domain, if domains are enabled), identified during real-time or batch matching processes. The user, generally the merge administrator, can later drill down from the list to obtain demographic person details and determine whether to merge, change status to unique, or leave on the list. If items are left on the list, it is expected that the administrator will resolve the duplicates later, after conducting further research.
US Diagnosis Related Group.
The ability to access the atomic levels of data by gaining direct access to the transactional database serving as the source of data for the clinical data warehouse schemas.
A process by which the results of a report may be further expanded through increasing levels of granularity, with the availability of data limited to the data contained within the clinical data warehouse schema.
Designated Record Set.
Evaluation and Management Guidelines.
E-Business Suite
Electronic Business using eXtensible Markup Language or e-business XML
Electrocardiogram; electrocardiography.
Electronic Data Collection Instrument.
A coding scheme whose version may be amended in-place, using API. Contrast to a Non-Editable Coding Scheme, whose versions may not be modified once loaded. Changes are introduced instead by loading a new version.
ETS generic terminology whose version can be modified after loading using the ETS API.
Electroencephalogram; Electroencephalography.
Electronic health record.
Enterprise JavaBeans.
Patient medical record stored in electronic format.
Medical transportation (ambulance service).
Hospital facility staffed and equipped to receive and treat persons with emergent health conditions (illness, trauma,...).
An encounter that occurs at the emergency room.
Enterprise Master Person Index
Emergency Medical Services.
Any contact between patient and provider where medical or related services are provided; includes consults. Defined by patient, practitioner or clinician, location, date, and time. Encounters can be related by encounter links.
Classifies encounter type as inpatient, outpatient, field, or emergency.
See Also:
An association between two related encounters, belonging to the same patient or different patients. For example, links can be made between mother and newborn encounters. Links can also be used to associate pre-admit testing with an inpatient stay.
List of encounters by patient.
A principal service of Oracle Healthcare that manages the interactions between patients and providers for the purpose of delivering healthcare services.
A person record that has been encoded to hide the person associated with the record.
Text that has been encrypted, using an encryption algorithm; the output stream of an encryption process. On its face, it is not readable or decipherable without first being decrypted. Also called ciphertext. Encrypted text originates as plaintext.
The process of disguising text (or a message), rendering it unreadable to any but the intended recipient.
A healthcare organization that consists of one or more facilities and employs multiple practitioners and other employees to deliver healthcare services; the principal business entity that defines a healthcare organization.
Emergency Room.
Extract Transform and Load.
Oracle Enterprise Terminology Services.
An internal identifier for an ETS entity or structure.
User-defined categorization of ETS concepts. For example, procedures, antibiotics, or injectable body sites classifications. ETS concepts may be drawn from a single terminology or multiple terminologies. Classifications may be associated with other classifications in a hierarchical fashion.
Evaluation and Management Guidelines
Identify separate services or procedures beyond the scope of those normally required by CPT coded services or procedures; used for billing purposes. Also called E&M Guidelines.
A significant financial or non-financial event that occurs within the context of an Agency Transaction. Many, but not all Events are derived from significant transactions within the Oracle Financials modules (that is AP, AR, GL, Loans). Examples are AP Invoice, AR Invoice, AR On Account Credit Memo, AP Payment Application and so on.
Any organization outside of the enterprise, such as medical groups, medical practices, payors. Other HDR objects (such as persons) may be affiliated with such external organizations. External organizations issue credentials.
Physical site of a healthcare organization, where healthcare services are delivered; a healthcare institution, such as a hospital or a clinic.
A measured value.
First Data Bank.
Defines the complex timing of events and actions in orders and scheduling systems. GTS supports the cyclical validity patterns that may exist for particular types of information, such as telephone numbers (evening, daytime), addresses, office hours. An HL7 version 3 concept.
ETS terminology that is loaded using the ETS generic loader and is accessed using the ETS generic API. In contrast, certain core terminologies have special loader support and terminology-specific extensions to the generic API.
See Also: core terminologies
An interface used with personal computers and workstations that lets users access window fields and regions with a pointing device, typically a mouse. Also called a window user interface, or a GUI.
General Timing Specification.
An individual (or other entity) who assumes financial responsibility for the healthcare received by another party (a patient). The guarantor guarantees payment for healthcare services provided to the patient.
Graphic User Interface.
See Also: Window User Interface
An entity that processes or converts healthcare information from or to a standardized format or data content in the course of its routine processing. Such organizations include billing services, repricing companies, community health management information systems, and value-added networks and switches that perform clearinghouse functions.
Health Care Financing Administration; now CMS.
Healthcare Financing Administration Common Procedural Coding System.
Healthcare Financing Administration Common Procedural Coding System, Level II.
Oracle Healthcare Staff Management.
Health Care Financing Administration
An agency of the U.S. Department of Health and Human Services, HCFA administers Medicare, Medicaid, and SCHIP. The agency also performs a number of quality-focused activities, including regulation of laboratory testing (CLIA) and development of coverage policies. Name changed to Centers for Medicare & Medicaid Services as at July 1, 2001.
See: practitioner.
An individual or organization licensed, certified, or otherwise authorized to deliver healthcare services
See: practitioner.
Health Insurance Portability and Accountability Act
The Health Insurance Portability and Accountability Act of 1996 (HIPAA). Title I of the act provides health insurance coverage for workers and their families when they change or lose their jobs. Title II of the act requires the U.S. Department of Health and Human Services (HHS) to establish national standards for electronic healthcare transactions and national identifiers for providers, health plans, and employers. The act also addresses security and privacy of healthcare data.
A healthcare application protocol for electronic data exchange. A set of standard formats that specify interfaces between computer applications from different vendors; lets healthcare institutions exchange key sets of data from different applications. Also called HL7.
One of several ANSI-accredited Standards Developing Organizations (SDOs) operating within the healthcare community; emphasizes clinical and administrative data. Headquartered in Ann Arbor, Michigan, this organization asserts and retains copyright in all works contributed by members and non-members relating to all versions of the Health Level Seven (HL7) standards and related materials. To contact this organization:
Health
Level Seven, Inc.
3300 Washtenaw Avenue
Suite 227
Ann Arbor, MI 48104
734.677.7777
734.677.6622 (fax)
hq@hl7.org
An individual or group plan that provides or pays the cost of healthcare services for its members.
See: practitioner.
U.S. Department of Health and Human Services.
Healthcare Intelligence.
Hierarchical Message Description
The specification of the fields of a message and their grouping, sequence, optionality, and cardinality. Contains message types for one or more interactions, or that represent one or more common message element types. The primary normative structure for HL7 messages.
Health Insurance Portability and Accountability Act of 1996.
Description of events or symptoms preceding the chief complaint.
Healthcare Information Technology Standards Panel
Health Level Seven (HL7).
Hierarchical Message Description.
History of Present Illness (HPI).
Human Relations; relates to Oracle Human Resource Management.
Oracle Human Resource Management.
U.S. Department of Health and Human Services.
Oracle Healthcare Data Repository; was Oracle Clinical Transaction Base (CTB).
Hypertext Markup Language.
Hypertext Transfer Protocol.
HTTP combined with underlying SSL layer.
A markup language used to format documents, predominantly for viewing with a web browser. Portions of text or images, called hypertext, can be associated with other documents. Also called HTML.
The TCP/IP-based network protocol used to transmit requests and documents between an HTTP server and a web browser. Also called HTTP.
International Classification of Diseases¾9th Revision, Clinical Modification.
International Statistical Classification of Diseases and Health-related Problems, 10th Revision.
Intensive Care Unit.
Identity Search Serverä (ISS)
Third-party match tool integrated with HDR.
Internet Engineering Task Force.
Internet Engineering Task Force Request for Comments 1766: Tags for the Identification of Languages.
Integrating the Healthcare Enterprise
A system or application responsible for producing, managing and/or acting on information in the context of an IHE Profile. Each Actor supports a specific set of IHE transactions to communicate with other IHE Actors.
A working group that addresses a set of interoperability issues in a particular clinical/operative field.
A description of solution to a specific integration problem, and documents the system roles (actors), standards and design details for profile implementers to develop systems that cooperate to address that problem.
Instance Identifier.
Inbound Message Processor
Inbound Message Processor (IMP)
HDR component that provides message interpretation, persistence, and acknowledgment services to HDR applications for processing inbound messages from external systems.
An event that occurred outside of the control of one or more of the parties involved. This includes the concept of an accident. – HL7. OR
A patient safety incident is defined as being any unintended, expected or unexpected incident(s) that could have or did lead to harm for one or more patients receiving health care services. – HL7 Patient Safety Special Interest Group.
A patient that has been admitted to a medical facility for treatment; a resident patient (for more than 23 hours).
An encounter involving an inpatient.
An Oracle Applications instance is available in a number of languages. You install a language before Oracle Applications can use it. In practice, every Oracle Applications installation will include American English. Other languages need to be installed as required. These are the only languages available to the customer facing applications.
A case or an occurrence. For example, an object is an instance of a class.
Used to uniquely identify an instance or object. object. In HDR, instance identifiers must be unique within Acts, Type 1 Roles, and Entities, but may be duplicated between these types of objects.
See: data integrity.
Semantic equivalence between concepts in different ETS coding schemes. Interterminology Equivalence information is loaded into ETS using cross maps designated as having equivalence context.
See Also: intraterminology equivalence, interterminology mapping
Mapping between concepts in versions of different coding schemes. Interterminology mapping is carried out using the ETS Cross Map Model.
See Also: interterminology equivalence, intraterminology equivalence
Hypersensitivity resulting in an adverse reaction upon exposure to an agent.
Semantic equivalence between concepts in the same ETS coding scheme. Concepts may be implicitly equivalent (the concepts bear the same concept code in different versions and the coding scheme maintainer has not declared a code re-use to have occurred), or explicitly equivalent (the concepts bear different concept codes, but the coding scheme maintainer has declared that a reassignment has occurred). Intraterminology equivalence information is loaded into ETS from change files.
See Also: interterminology equivalence, interterminology mapping
International Standards Organization.
International Standards Organization 3166-1: Country Codes.
Internet Service Provider
Independent Software Vendor; Independent Service Vendor
IT Infrastructure, an IHE Domain. Supplies necessary infrastructure for sharing healthcare information.
Java 2 Platform, Enterprise Edition.
Java Authentication and Authorization Service.
Java Archive File; contains compressed Java classes.
Java Classes are components of a Java program that define objects and operations performed on objects. A Java class also identifies an operating system file that contains a program or part of a program written in Java.
Java Server Pages (JSP) are an extension to the Java servlet technology that was developed by Sun Microsystems as an alternative to Microsoft ASPs (Active Server Pages). JSPs support dynamic scripting capability that works in tandem with HTML code, separating the page logic from the static elements¾the actual design and display of the page.
Java Database Connectivity.
Java Development Kit.
Java Runtime Environment.
Java Server Pages.
Java Transaction API.
Java Virtual Machine.
An observation on a specimen in a laboratory environment.
Local Area Network.
Lightweight Directory Access Protocol.
Limited Data Set.
Operation that relates Person records pertaining to the same individual to a single master identifier. Linking is required when a single person has legitimate multiple representations in the system. For example, when a person is tracked independently by two or more external systems, or represented in multiple internal person domains. All linked persons are equal (there are no survivors or donors, like in merge) and any number of persons can potentially link to the same master identifier unlike merge where records are dealt with in pairs.
Linking supports a consolidated view across all Person records in HDR, however the updates are applied to the individual person records regardless of linking consideration.
Intentional multiple representations of a single person in the system. Linking is needed when the system separates records sourced by different external systems or due to other data partitioning needs.
Linking context is a user-configurable set of rules and regulations that govern linking processes.
List of valid purposes for which the processing of personal health information is authorized by law or local regulation. Required by the HIPPA Privacy Rule, as well as privacy regulations of several countries and geographic locales.
A collection of information relating to the linguistic and cultural preferences for a particular region. Typically, a locale consists of language, territory, and character set.
In Oracle Applications, the following locale parameters are used to determine the locale-specific behavior for both client and server:
Note that locale parameters can be referred to as NLS parameters in some Oracle Applications products.
See Also: National Language Support
The healthcare facility, clinic, hospital unit, room, and bed; the location of an encounter.
Logical Observation Identifier of Names and Codes.
List of Values.
Grouping by admitting diagnosis. Assignment of the MDC is the first step in the process of formulating the Diagnosis-Related Group, necessary for reimbursement of a healthcare claim.
The organization of clinical acts by type. Ties a particular organization's clinical data to Oracle Enterprise Terminology Services (ETS).
Set of rules that determine what data should be selected for matching, as well as what transformation functions and weights to use for record acquisition and matching. These rules are then used by the fuzzy logic matching algorithms.
Calculated value that represents the degree of similarity between two Person records. The match provides a mechanism to quantify the similarity for comparison with other match records and to determine if a linking candidate record exists for any given record.
Determines from a set of traits whether a person may already be known to a system. The matching operation may return zero to many persons depending on the algorithm, weights on traits, and threshold parameters used in the matching process.
Major Diagnostic Categories (U.S.).
Message Development Framework (See: RIM).
A reference number that uniquely identifies a patient or patient medical record.
Periodic review of the patient medical record for quality improvement studies, research projects, billing compliance auditing, and claims review.
See Also: electronic health record (EHR).
The act of introducing or otherwise applying a medication to the subject.
Describes medications and dosages prescribed for a patient.
The act of dispensing a medication to the subject.
Uniquely identifies a concept within a concept list.
Operation on two records representing the same person, which results in one surviving record that represents a consolidated updateable Person object.
A unit of data transferred between systems or applications.
A three-character code imbedded in a message that defines the purpose of the message. Example: ADT; indicates that the purpose of the message is to transmit ADT data.
Multiple Language Support.
A code specifying whether an act is an activity that has happened, can happen, is happening, is intended to happen, or is requested or demanded to happen. An HL7 version 3 concept.
Magnetic Resonance Imaging; Medical Records Information.
Medical Record Number.
Message Type
Message Transmission Optimization Mechanism
In the context of Oracle Applications, Multiple Language Support (MLS) means that the relevant module can utilize more than one language in the same Oracle Applications instance. NLS and MLS are closely related; the MLS architecture enables provision of multiple language support, with the required national language support for a particular language being achieved by applying the appropriate NLS patches.
See Also: National Language Support
In the context of Oracle Applications, National Language Support (NLS) refers to the ability to run an Oracle Applications instance in any one of the supported languages, including specific regional or territorial number and date formats. Typically, in order to support a given language, only the customer-facing components of the Applications software (user interface, lookup tables, online documentation, and so on) are translated. The underlying logic for the translated instance is always based on American English.
US National Drug Data File.
A network resource used by clients; for example, an Oracle database server.
National Language Support
See: organization node.
Network Time Protocol. Standard Internet protocol for synchronizing computer clocks.
A programming construct that contains both data and procedure to access, update, or use such data by performing a service. An object exists within a class (an instance of a class), which defines common characteristics and behaviors for all objects within the class. Objects are abstractions that can represent real-world items, such as a motor vehicle, or a process, such as transferring a patient.
A globally unique string (example: 2.16.840.1.113883.3.1) that expresses a tree data structure; an ISO concept.
Observations are actions performed in order to determine an answer or result value. Observation result values (Observation.value) include specific information about the observed object. The type and constraints of result values depend on the kind of action performed. Clinical documents commonly have 'Subjective' and 'Objective' findings, both of which are kinds of Observations. In addition, clinical documents commonly contain 'Assessments', which are also kinds of Observations. Thus, the establishment of a diagnosis is an Observation. - HL7 V3 Sep 2006 Ballot
Organized Healthcare Arrangement.
Object Identifier; Oracle Internet Directory.
Outbound Message Processor.
A group, practice, department, or other unit within an organization. An organization can have several care site practice settings across multiple organization nodes.
Outbound Message Processor (OMP)
HDR component that supports generation and sending of outbound messages from the HDR platform. OMP generates HL7 V3 XML messages by extracting data from the HDR repository and mapping it to HL7 V3 conformant message types.
A patient that has not been admitted to a medical facility for treatment (for more than 23 hours); a non-resident patient; one who visits a hospital, clinic, or associated medical facility for diagnosis or treatment but is not admitted.
See Also: inpatient.
An encounter involving an outpatient. Examples include visits to the ER, other physician visits or checkups, day surgery, blood donation.
An association between a role and an act. Represents the involvement of the entity playing the role with regard to the associated act. A single role may participate in multiple acts and a single act may have multiple participating roles. A single participation is always an association between a particular role and a particular act. An HL7 version 3 concept.
A person who receives professional services from a practitioner of the healing arts toward the maintenance, improvement, or protection of health, or lessening of illness, disability or pain.
Permission given by a patient to use and disclose specific protected health information identified for the limited purposes requested. Health information that is used for treatment, payment or healthcare operations, or is otherwise permitted or required by the Privacy Rule, is not protected.
A Payment is actually a distinct type of financial event that represents an Accounts Payable payment (for example, a check or an Electronic Funds Transfer). Payment Events are not directly included within an Agency Transaction unlike all other Events.
A third-party purchaser of healthcare services. A payor may be an insurance company or a governmental program, such as Medicare or Medicaid.
Primary Care Provider; Primary Care Physician.
Physical Exam.
The first step in admitting an inpatient, it alerts a designated practice setting to the imminent arrival of a new patient and collects required encounter data prior to the actual admission; defines the commencement of a new encounter.
The first step in discharging an inpatient, it alerts the appropriate ancillary departments to imminent discharge of a patient. This lets them schedule the termination of services to that patient upon departure.
A person participating in delivery of a service. A participation type code depicting the kind of participation or involvement the actor (the entity playing the role associated with the participation) has with regard to the associated act.
Data created or received by a data controller that relates to (i) the physical or mental health or condition of an individual, or (ii) the provision of healthcare to an individual, or (iii) payment for healthcare services to an individual.
A service of Oracle Healthcare. Includes a directory that uniquely identifies persons, who may be patients, providers, payors, other medical staff, or all of these. It can exist within a single domain or an enterprise with multiple domains, and can be employed at the organization, community, state, national, or international level. Previously called Enterprise Master Person Index (EMPI).
A high volume, batch oriented data loading program.
Personal Health Information.
Personal Identification Number.
Public Key Encoding.
Public Key Infrastructure.
PL/SQL is a procedural extension of SQL that provides programming constructs such as blocks, conditionals, and functions.
Message or other text that has not been encrypted.
In TCI/IP and UDP networks, a port is an endpoint to a logical connection. The port number identifies what type of port it is. For example, port 80 is used for HTTP traffic.
A categorization of the clinical setting (cardiology clinic, primary care clinic, rehabilitation hospital, skilled nursing facility,...) in which care is delivered. (Note that there is a many-to-many relationship between practice setting and the physical location where care is delivered. Thus, a particular room can provide the location for cardiology clinic one day, and for primary care clinic another day; and cardiology clinic might be held at one physical location on one day, but at another physical location on another day.) Practice settings are certain nodes in an organization hierarchy. Examples of practice settings include MedSurg, ICU3, or Physical Therapy. Practice settings are typically part of larger organizational units.
A medical professional or technician licensed or otherwise authorized or permitted by law to provide healthcare services. A practitioner may be a physician, nurse or other type of licensed healthcare professional. Also called healthcare professional, clinician.
An optional process conducted in addition to pending admission, this process is conducted when episode-related procedures must be performed in preparation for the prospective admission of a patient to a healthcare facility. Examples include diagnostic tests, blood typing, radiology studies, x-rays.
A service of Oracle Healthcare that lets a prospective patient enter all required information and complete all required admission forms prior to admission.
See: primary care provider. Note that these terms are often used interchangeably. Also called PCP.
The principal practitioner providing or coordinating the delivery of healthcare services to a particular patient. May also be called primary care physician, if the practitioner is a physician. Also called PCP.
Issued by the U.S. Department of Health and Human Services pursuant to provisions of HIPPA, the Health Insurance Portability and Accountability Act, to establish standards of privacy for individually identifiable health information. Covers Protected health information held or transmitted by a covered entity or its business associate, in any form or media. Privacy regulations concerning the access of Personal health information are implemented as a set of privacy rules enforced by HDR Security Services. Also a security rule that specifies permitted use or disclosure by a Data controller.
Provide access to a healthcare institution resources (personnel, equipment, facilities, care sites...) for the purpose of providing patient care. Privileges are granted on the basis of credentials, and the assessment of a clinician qualifications to perform associated services.
An observable finding or state that persists over time and tends to require intervention or management.
An intervention that is performed physically on the subject. OR
A procedure is an Act whose immediate and primary outcome (post-condition) is the alteration of the physical condition of the subject. Procedures may involve the disruption of some body surface (for example an incision in a surgical procedure) conservative procedures such as reduction of a luxated join, including physiotherapy such as chiropractic treatment, massage, balneotherapy, acupuncture, shiatsu, and so on. Outside of clinical medicine, procedures may be such things as alteration of environments (for example straightening rivers, draining swamps, building dams) or the repair or change of machinery and so on. – HL7 Rose Tree RIM 2.14
Describes actions to be performed, associated CPT codes, and optional resources required.
A profile option is a set of changeable attributes that affect the way Oracle applications appear and how they function.
Personal health information that is maintained or transmitted in any form or medium. HIPAA privacy rules apply only to protected health information–which includes personal health information but excludes (i) education records covered by the Family Educational Rights and Privacy Act, and (ii) employment records maintained by a covered entity in its capacity as an employer. Individually identifiable health information is information, including demographic data that relates to:
and that identifies the individual or for which there is a reasonable basis to believe can be used to identify the individual; includes many common identifiers, such as name, address, birth date, social security number.
An individual or organization that is licensed to deliver medical care. All clinicians, hospitals, clinics, and other types of healthcare organizations are providers.
An intermediate server positioned between a client application, such as a Web browser, and another target server. It intercepts all requests to the target server to see if it can fulfill the requests itself. If it cannot do so, it forwards the request to the target server.
A Graph of objects that represents the criteria that selects which objects is returned by the Query Service, and a definition of what attributes on those objects to return.
Read-only access lets you access data without changing it.
A single HDR enterprise that is addressed by an HL7 version 3 message. Receivers are identified by the root of the Instance Identifier of the OrganizationRCV object in the message wrapper of HL7 messages that conform to Oracle Conformance Specifications. Called the ReceiverIdentifier in IMP configuration. Must be a valid cross reference to an HDR enterprise.
An object model created as part of the HL7 version 3 methodology. RIM is a pictorial representation of the clinical data (domains) and identifies the life cycle of events that a message or groups of related messages will carry.
Refined Message Information Model
An information structure that represents the requirements for a set of messages. A constrained subset of the Reference Information Model. May contain additional classes that are cloned from RIM classes. Contains those classes, attributes, associations, and data types that are needed to support one or more Hierarchical Message Descriptions. A single message can be shown as a particular pathway through the classes within an RMIM. An HL7 version 3 concept.
A service of Oracle Healthcare that captures information (demographic, financial, other) necessary to establish a new patient in the system. The submitted information is received by the medical facility's admitting department and processed daily.
Any person, care site, equipment, or other facilities or capabilities required for a scheduled appointment. Example: The resources to support a laser treatment could include a care site and a laser technician.
A level of authority within Oracle Applications that lets users access those application functions and data that are consistent with their assigned roles within an organization. Although user accounts can be granted multiple responsibilities within Oracle Applications, more than one responsibility cannot be active at the same time during a user session (users select one responsibility at a time).
An application that allows providers to view a patient's clinical information.
Reference Information Model (HL7).
Refined Message Information Model.
Within Health Level Seven, a role refers to the function or responsibility assumed by a person or organization in the context of healthcare events or activities. For example, a person can have the role of clinician, while an organization can have the role of practice setting.
An HL7 version 3 tool used to develop Hierarchical Message Descriptions and Message Types from Refined Message Information Models.
An HL7 tool that lets you browse (read) the Reference Information Model as a UML model, including RIM data types and vocabulary.
State Children's Health Insurance Program (U.S.).
Standards Developing Organization.
Secure node is a IHE ATNA actor and a network-addressable system that requires authentication of network operations using TLS and sends audit records to the Audit Record Repository.
An application that is capable of originating HL7 version 3 messages. Senders are identified by the Instance Identifier of the DeviceSND object in the message wrapper of HL7 messages that conform to the Oracle Conformance Specifications for such messages; called the SenderIdentifier in IMP configuration.
A computer that is accessed by and serves other client or server computers in a network. Examples include mail servers, database servers, and application servers (Oracle9iAS).
A network resource used by clients; for example, an Oracle database server.
A servlet is a Java program called or triggered by a client computer, executed on an HTTP server.
Within the context of HL7 version 3 messaging, the creation, updating, or replacement of an object with information from a message, when that object is not the focus of the message
Systematized Nomenclature of Medicine.
Systematized Nomenclature of Medicine Clinical Terms.
Simple Object Access Protocol
Source System Management (SSM)
Feature within TCA that enables a record to be identified by the external system from which it is sourced.
A specimen observation is an observation on a specimen in a laboratory environment that may affect processing, analysis or result interpretation. – HL7 Rose Tree RIM 2.14
Structured Query Language. An internationally standardized language used to access data in a relational database.
An Oracle language superset of SQL used to submit SQL statements to an Oracle database server for execution. SQL*Plus has its own command language.
A SQL script is a file containing SQL statements that you run with a tool such as SQL*Plus to query or update an Oracle Relational Database.
Secure Sockets Layer.
Single Sign-on.
An act using a material as a therapeutic agent. The effect of the therapeutic substance is typically established on a biochemical basis, but that is not a requirement. An HL7 version 3 concept.
Record that is deemed to be valid and non-duplicate. Merge To, Winner, and Master are various terms used to refer to a Survivor. The HL7 term for the survivor is Prevailing Person.
A standard for forwarding log messages in an Internet Protocol (IP) computer network
The person who manages administrative tasks in Oracle Applications, such as registering new users and defining system printers, or granting the system administrator responsibility to other users.
Templated CDA
Transmission Control Protocol/Internet Protocol. A widely used industry-standard networking protocol used for communication among computers. The communication standard of the Internet.
A set of machines that perform similar tasks. Client/Server is a two-tier architecture, with machines on the client tier connecting to machines on the server tier. Internet Computing Architecture consists of three tiers. In Oracle Applications Release 11i, machines on the desktop client tier communicate with machines on the application tier, which in turn communicate with each other and with machines on the database tier.
An IHE CT actor, which establishes time synchronization with one or more Time Servers using the NTP protocol. Maintains the local computer system clock synchronization with UTC based on synchronization with the Time Servers.
An IHE CT actor, which provides NTP time services to Time Clients. It is either directly synchronized to a UTC master clock (e.g. satellite time signal) or is synchronized by being grouped with a Time Client to other Time Server(s).
Transport Layer Security
Treatment, payment, or healthcare operation.
Movement of a patient from one practice setting to another. May imply change in patient level of care.
Transmission Control Protocol/Internet Protocol
See: TCP/IP.
Within the context of HL7 version 3 messaging, the TriggerEvent is the unique combination of a message type and a state transition that the focal class of the message type can undergo. Each HL7 version 3 message identifies its trigger event using the code attribute of the ControlActEvent class in the ControlAct wrapper (called the TriggerEventCode).
Universal Billing Document [1992].
User Interface.
Unified Modeling Language.
User Management/Security Administration – an EBS feature.
An industry standard tool for object-oriented analysis and design. Used to create domain models, UML was originally created to unify several well known object-oriented modeling methodologies, principally including those of Grady Booch, Jim Rumbaugh, and Ivar Jacobson.
Describes one of the basic structures of the HL7 Reference Information Model (RIM); the clinical part of the RIM.
Unique status is used for records that do not represent the same person despite the potentially high matching score (Example, biological twins). If two records are marked as unique with regard to each other, they will not be matched against each other in subsequent match process runs.
Operation that negates the effects of a merge and restores individual records to their previous condition, retaining updates to both the donor and the survivor records after the merge. The user can review post-merge updates to ensure accuracy of restoration after the unmerge.
See Also: merge
Unified Service Action Model.
U.S. Department of Health and Human Services
Administers Health Insurance Portability and Accountability Act (HIPAA), among other functions relating to the regulation of the healthcare industry in the United States. Also called HHS.
A user is any person requiring access to an application, including various types of customers, partners, suppliers, and employees.
A unique name that grants access to a secure environment or program, such as an Oracle database or Oracle application. A user name is typically associated with a collection of privileges and data available to a particular user (responsibilities in Oracle Applications). User names are normally associated with a password.
Coordinated Universal Time
UTF8 is an encoding of the Unicode character set that includes all the characters in all modern languages. In effect, UTF8 supports all languages.
While other character sets support only a few languages, the universal nature of UTF8 allows Oracle Applications to be run from one database instance using any combination of supported languages.
Note that as UTF8 is a superset of all other supported character sets, there are no other character sets that are fully compatible with it. If UTF8 is used on any tier, it must be used on all tiers. This is because character sets in use on different tiers must be compatible with each other: if one character set does not contain all the characters in another, substitute characters will have to be used, and data may be lost.
Within Credentials Management, the act of authenticating credentials.
Wide Area Network.
Oracle WebLogic is the application server choice for deploying Healthcare Data Repository (HDR) enterprise application.
An interface used with personal computers and workstations that lets users access window fields and regions with a pointing device, typically a mouse. Also called a Graphic User Interface.
Cross-Enterprise Document Sharing, an IHE Profile.
The XDS profile has two modes of implementation, XDS.a and XDS.b, which accomplish the same set of transactions but with different underlying technologies. XDS.a (historically XDS before the advent of XDS.b) is based on ebXML 2.1 and SOAP 1.1 and 1.2. XDS.b is based ebXML 3.0 and uses web-service transactions based on SOAP 1.2 and MTOM/XOP.
A group of healthcare enterprises that agrees to work together, using a common set of policies and which share a common infrastructure of repositories and a registry.
Smallest unit of information that may be provided to a Document Repository and registered in a Document Registry.
Extensible Markup Language.
XML-binary Optimized Packaging.
Effective: March 2015
Revision: 10
Oracle® Tutor Copyright © 1997, 2015 Oracle. All rights reserved.